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Testosterone may be the main sexual hormone in men, created inside the Leydig cells of the testes. It is also created by the adrenal gland but in trace amounts. The secretion of testosterone undergoes a number of phases during a man's lifetime. At the onset of puberty, the testosterone levels rise rapidly. This really is primarily responsible for your puberty traits observed in teenage boys. Once middle age is attained, testosterone levels begin to decline, up to 1%, each year. During the latter component of life or old age, testosterone levels can decline severely.

Diuretics: Also known as water pills, diuretics cause increased urination and elimination of water from the body by putting more sodium into the kidneys. The extra sodium extracts water from the blood stream and decreases the amount of fluid flowing through the blood vessels, thus reducing blood pressure. Blood pressure medications which include diuretics are often prescribed by your doctor as a first line of treatment for hypertension (high blood pressure). They have been in use for quite a while and are very effective for older adults and people who are overweight. There are three types of diuretics which are used in treating high blood pressure, thiazides, loop , and potassium-sparing. The thiazide group is the one that is most associated with ED (erectile dysfunction). Thiazides can decrease blood flow to the penis, making it difficult to acheive an erection. Some examples of thiazide-based, high blood pressure medications are: Lozol, Aquatensen, Enduron, Renese, Diuril, Naturetin, and Mykrox.

'We are including this information about these adverse events on the labeling as it may be important to individual patients. Additionally, healthcare professionals and patients should include this information as part of a discussion of risks and benefits of finasteride when determining the best individual treatment options.'

Radical prostatectomy is an invasive surgery that removes all or part of the prostate gland and often surrounding tissues. The connection between prostatectomy and impotence exists because the cavernous nerves of the penis which control erections, run next to the prostate and are often damaged or destroyed during the surgery. This damage to the cavernous nerves results in inability to achieve or maintain an erection.

There are two forms of radiation therapy. The first is the older version of the treatment, that being using a beam of radiation focused on the cancerous parts of your prostate. The second is called seed, or brachytherapy, in which seeds of radioactive material are placed in the prostate using differing intensities of radiation. Brachytherapy seems to becoming the radiation treatment of choice if the prostate cancer has not metastasized. Of course, it will be up to you and your doctor to make the choice that is best for you.

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